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P. i <br /> 8-11-1995 4:57PM AGE NC 209 956 0700 <br /> SAN JOAQUIN COUNTY <br /> ]PUBLIC EMALTH STRV MION <br /> ENVIRONMENTAL HEALTH DIVISION LK <br /> PUBLIC REC�O(RRD,S RF EASE APPLICATION o <br /> lla / 7d PHONE ter Uri-� <br /> APPLICANT � � <br /> ADDRESS ( �� �G PHONE N N — <br /> AGENCY NAME - gITN <br /> ADDRESS u `� <br /> FILE sJ]DRFSS I Anel AGI-+NCY D <br /> 1��l �r <br /> 17-2z A <br /> l�ttilf' �e mfr's-�� <br /> Z=- In- ell - <br /> /22 <br /> THIS NOTICE IS SUBJECT TO TIIE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SER V ICFS/EN V IRONM GNTAL HEALTH DIVISION(till D)POLICY#'92-007.ORDIN AN C8 CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE <br /> 1. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FIL ESIRECORDS REVIEW ARE BY APPOINTMENT ONLY- APPOINTMENTS ARE <br /> ARRANGED BY 9)468-0340, OFFICE IIOURS FOR APPOINTMENTS ARFL SCHEDULED <br /> MONDAY THRU CFRIDAY EXALLING C9LUDING HOLIDAYS, 8.•00 A.M. TO 12:00 NOON AND 1:00 M, TO 4.30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 , <br /> 1S REQUIRED. DEPOSITS WILL HB RETURNED TO THE APPLICANT IF THE I-'ILFS/RECORDS ARE <br /> NOT AVAIIABL B WITHIN THE CUSTODY OFT" HHD. <br /> 4. THE ABOVE LDENTIPII?D DEPOSIT IS APPLIED TOWARDS TIIE TOTAL FILE REVIEW FEE <br /> CHARGE. TAE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 1. PUBUC ML.ES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE FMD STAFF AT THE EXPENSE OF T1IE APPLICANT. TIUS ADDITIONAL <br /> SERVICE WILL HE Bit Ian TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FII MRECORDS SHALL NOT BE REMOVED FROMTHE OIL) PREMISES- <br /> SIGNATURE OF APPLICANT P: g) DATE <br /> SIGNATURE OF RM-EASING OFFICIAL DATE <br /> ER 00 14 (REV 12192) <br />